Timothy Gerard Vandenboom, M.D.
Dermatopathology Physician · Ypsilanti, MI
Timothy Gerard Vandenboom, M.D. is a dermatopathology physician with a practice address in Ypsilanti, Michigan, and NPI 1629344189, issued on Mar 29, 2012. Check the license (Michigan 4301114577, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Timothy Gerard Vandenboom
- Credential
- M.D.
- Primary taxonomy
- Dermatopathology Physician 207ND0900X
- License numbers
- 4301114577 MI
125062313 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5301 E Huron River Dr, Ypsilanti, MI 48197
- Phone
- (734) 712-3161
- Enumerated
- Mar 29, 2012
- Record last updated
- Apr 26, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180709002136); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2012
- Entity
- Type 1 · individual
Also registered at 5301 E Huron River Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samar Abboud, PA-CPhysician Assistant1871942144
- Fahtme AbdallahMedical Physician Assistant1427579077
- Deepak Aggarwal, M.D.Internal Medicine Physician1154551810
- Julia Akaah, MDInternal Medicine Physician1649207366
- Rita Akaraz, M.D.Internal Medicine Physician1487071767
- Wassim Ali, M.D.Internal Medicine Physician1861697526
Verify Timothy Gerard Vandenboom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301114577Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $45.66
1 payment: food and beverage; the largest payer was Roche Diagnostics Corporation. The 233 providers of this specialty with any payment received $2,984.42 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Iha Health Services CorporationYpsilanti, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dermatopathology Physician providers in Michigan
There are 23 dermatopathology physician records in Michigan.
Other dermatopathology physician records in Michigan
- Liaqat Ali, M.D.Monroe, MI1053547885
- Samah AlsalmaniBirmingham, MI1427915214
- Nicole Bossenbroek, M.D.Grand Rapids, MI1619909611
- Marsha Chaffins, M.D.Detroit, MI1184702219
- Neldagae Chisa, M.D.Bloomfield Hills, MI1841274032
- Virginia CottonAnn Arbor, MI1851360267
- Daniel Dapprich, M.D.Grand Rapids, MI1578549242
- Michael Dewall, DOYpsilanti, MI1679968150
- Leah Hooey, DOGrand Rapids, MI1598179277
- Alexandra Hristov, M.D.Ann Arbor, MI1003966292
Common questions
What is Timothy Gerard Vandenboom, M.D.'s NPI number?
Timothy Gerard Vandenboom, M.D.'s National Provider Identifier (NPI) is 1629344189, issued on Mar 29, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Gerard Vandenboom, M.D. located?
The NPPES record lists a practice address at 5301 E Huron River Dr, Ypsilanti, MI, 48197. Phone: (734) 712-3161. Providers update this record themselves, so call before visiting.
How can I verify Timothy Gerard Vandenboom, M.D.'s license?
NPPES lists Michigan license number 4301114577, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.